1.Easy
Transient tachypnoea of the newborn is caused by:
- ASlow clearance of fetal lung fluid
- BLack of surfactant in preterm babies
- CBlockage of the nasal passages
- DBacterial infection of the lungs
2.Easy
What is the typical respiratory rate of a healthy newborn at rest?
- A20 to 30 breaths per minute
- B30 to 60 breaths per minute
- C12 to 20 breaths per minute
- D60 to 90 breaths per minute
3.Easy
Which definition of a fetal heart rate acceleration applies from 32 weeks?
- AA rise of 30 bpm lasting 2 minutes
- BA fall of 15 bpm lasting at least 15 seconds
- CA rise of 5 bpm lasting 5 seconds
- DA rise of at least 15 bpm lasting at least 15 seconds
4.Medium
A newborn baby girl has a small amount of blood-tinged vaginal discharge on day 3. What should the nurse tell the parents?
- AIt means the baby has a bleeding disorder
- BIt is caused by maternal hormones
- CIt is a sign of sexual abuse
- DIt shows a urinary tract infection
5.Medium
Which is the correct order of the first cardinal movements of labour?
- AInternal rotation, engagement, descent, extension, flexion
- BFlexion, engagement, extension, descent, internal rotation
- CDescent, extension, engagement, flexion, internal rotation
- DEngagement, descent, flexion, internal rotation, extension
6.Medium
How does a port-wine stain differ from a "stork bite" (salmon patch)?
- AA port-wine stain does not fade with time
- BA port-wine stain always disappears within a year
- CA stork bite is a raised tumour that grows quickly
- DA stork bite only occurs in preterm babies
7.Hard
An 18-year-old at 30 weeks has missed several antenatal visits. What is the most helpful nursing approach?
- ADischarge her from antenatal care
- BReport her to social services for missing visits
- CExplore barriers and offer flexible, youth-friendly care
- DTell her she is putting her baby at risk and must attend
8.Hard
The triage nurse receives four phone calls from pregnant women. Who should be told to come in immediately?
- AAt 25 weeks with mild backache after standing
- BAt 30 weeks with heartburn after large meals
- CAt 12 weeks with mild nausea in the mornings
- DAt 36 weeks with constant pain and a hard uterus
Answer key
- 1. A · Slow clearance of fetal lung fluid
- 2. B · 30 to 60 breaths per minute
- 3. D · A rise of at least 15 bpm lasting at least 15 seconds
- 4. B · It is caused by maternal hormones
- 5. D · Engagement, descent, flexion, internal rotation, extension
- 6. A · A port-wine stain does not fade with time
- 7. C · Explore barriers and offer flexible, youth-friendly care
- 8. D · At 36 weeks with constant pain and a hard uterus
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